Organization Active NPI

Dr Charles R Quinn II DDS LLC

  • Customized Equipment (DME)
  • Chattanooga, TN
National Provider Identifier
1801654645
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DR CHARLES R QUINN II DDS LLC
Practice address
651 E 4TH St Ste 301
Chattanooga, TN 37403-1932
Phone
(423) 756-0957
Fax
(423) 756-0287
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles R Quinn II, DDSNPI 1427163690
Title
Owner, Principle Officer
Phone
(423) 756-0957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

651 E 4TH St Ste 301
Chattanooga, TN 37403-1932

Mailing address

651 E 4TH St Ste 301
Chattanooga, TN 37403-1932
Phone (423) 756-0957

National Provider Directory

National Provider Directory

Locations

651 E 4th St
Ste 301
Chattanooga, TN 37403
Phone (423) 756-0957

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1801654645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E 4TH ST STE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031932",
            "telephone_number": "423-756-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E 4TH ST STE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031932",
            "telephone_number": "423-756-0957",
            "fax_number": "423-756-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES R QUINN II DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, PRINCIPLE OFFICER",
        "authorized_official_telephone_number": "423-756-0957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.